Kris M Pollock, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5917 Issued in NE

Practice address

4030 Hohensee Dr
Lincoln, NE 68516-3927

Phone

(402) 421-7500

Fax

(402) 477-1478

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kris.pollock.p8@direct.360care.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tracy N Garcia, DDS, LLC

  • Dentist
  • Lincoln, NE
  • NPI 1245505049
  NPD
• Mdhoefs DDS PC

  • General Practice Dentistry
  • Lincoln, NE
  • NPI 1427280734
  NPD (past)
• Syracuse Dental Clinic LLC

  • Dental Clinic/Center
  • Syracuse, NE
  • NPI 1275989634
  NPD (past)
• Tranquil Teeth LLC

  • Dental Clinic/Center
  • Syracuse, NE
  • NPI 1316787138
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1346315777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 HOHENSEE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163927",
            "telephone_number": "402-421-7500",
            "fax_number": "402-477-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 HOHENSEE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163927",
            "telephone_number": "402-421-7500",
            "fax_number": "402-477-1478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 1st St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NE",
            "postal_code": "684469612",
            "country_code": "US",
            "telephone_number": "402-269-3160",
            "fax_number": "402-269-3174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "KRIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "NE5917",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47076925700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Polk
• Amber Beth Pollard
• Lisa Michele Pollard
• Miranda Ashley Pollman, DNP-FNP
• Katherine Lela Pollock
• Madison R Poloa
• Duane E Polzien, OD
• Aaron James Pomajzl, M.D.
• Monica R Pomajzl, OT
• Catherine Pomeroy

• General Practice Dentistry in Lincoln, NE
• Providers in Lincoln, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.